以问题为导向的县域医防融合评价指标体系构建  

Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level:a Delphi study based on the rainbow model

作　　者：李灿灿 李程跃[4,5] 王子荆 白忠良 陈任 沈群红[8] 徐凌忠[5,9] 蒲川 马安宁[5,11] 高俊文 汪华[13] 郝模 胡志 LI Cancan;LI Chengyue;WANG Zijing;BAI Zhongliang;CHEN Ren;SHEN Qunhong;XU Lingzhong;PU Chuan;MA Anning;GAO Junwen;WANG Hua;HAO Mo;HU Zhi(Key Laboratory of Public Health Social Governance,Philosophy and Social Sciences of Anhui Province,Anhui Medical University,Hefei 230032,China;Research Center for Health Development Strategy of Anhui Province,Anhui Medical University,Hefei 230032,China;People’s Hospital of Fuyang City,Fuyang 236000,Anhui Province,China;Research Center for Health Development Strategy,Fudan University,Shanghai 200032,China;Health Service Management Branch,Chinese Preventive Medicine Association,Shanghai 200032,China;The Second Hospital of Anhui Medical University,Hefei 230000,China;School of Health Management,Anhui Medical University,Hefei 230000,China;School of Public Policy and Management,Tsinghua University,Beijing 100084,China;School of Public Health,Shandong University,Jinan 250012,China;College of Public Health,Chongqing Medical University,Chongqing 400016,China;Shandong Second Medical University,Weifang 261053,China;Health Commission of Anhui Province,Hefei 230000,China;Jiangsu Commission of Health,Nanjing 210008,China)

机构地区：[1]安徽医科大学公共健康社会治理安徽省哲学社会科学重点实验室,合肥230032 [2]安徽医科大学安徽省健康发展战略研究中心,合肥230032 [3]安徽省阜阳市人民医院,阜阳236000 [4]复旦大学卫生发展战略研究中心,上海200032 [5]中华预防医学会卫生事业管理分会,上海200032 [6]安徽医科大学第二附属医院,合肥230000 [7]安徽医科大学卫生管理学院,合肥230000 [8]清华大学公共管理学院,北京100084 [9]山东大学公共卫生学院,济南250012 [10]重庆医科大学公共卫生学院,重庆400016 [11]山东第二医科大学,潍坊261053 [12]安徽省卫生健康委员会,合肥230000 [13]江苏省卫生健康委员会,南京210008

出　　处：《中国公共卫生》2024年第12期1481-1486,共6页Chinese Journal of Public Health

基　　金：国家自然科学基金(72374046);上海人才发展资金资助项目(2020128);公共健康社会治理安徽省哲学社会科学重点实验室项目(PHG202309;PHG202401);基层健康协同治理安徽省高校优秀科研创新团队项目(2023AH010036)。

摘　　要：目的构建符合我国县域医防融合工作实际的评价指标体系,为引领和推动县域医防融合工作科学发展提供指导原则和评价手段。方法以彩虹模型为理论依据,通过政策分析、文献复习等方法确定县域医防融合评价指标体系的理论框架和备选指标库;运用德尔菲专家咨询法和层次分析法确定指标体系及其权重。结果两轮专家咨询的积极系数分别为87%和100%,权威系数均值均为0.79,意见协调系数分别为0.222和0.359(均P<0.05);经过两轮专家咨询后建立了包含6个一级指标、15个二级指标以及37个三级指标的县域医防融合评价指标体系。结论指标的构建有适宜的理论指导,遵循了科学方法,符合科学程序,过程严谨、结果可靠;对促进和提高未来我国县域医防融合工作的科学性和可持续发展具有现实指导意义。Objective To construct an evaluation index system in accordance with the practical implementation of county-level medical treatment and prevention integration in China,and to provide guiding principles and evaluation tools for its scientific development.Methods Using the rainbow model as a theoretical foundation,a theoretical framework and a pool of candidate indicators for evaluating county-level medical-preventive integration were established through policy analysis and literature review.The Delphi method and analytic hierarchy process(AHP)were used to determine the index system and corresponding weights.Results The response rates for the two rounds of expert consultation were 87%and 100%,respectively,with an average authority coefficient of 0.79.The coordination coefficients of the expert opinions were 0.222 and 0.359(both P<0.05).After two rounds of expert consultation,an evaluation index system was established,which included 6 first-level,15 second-level,and 37 third-level indicators.Conclusions The construction of the index system was guided by appropriate theoretical principles,followed scientific methodology,adhered to systematic procedures,maintained rigorous processes,and produced reliable results to promote and enhance the development and sustainability of county-level medical-preventive integration in China.

关 键 词：医防融合 彩虹模型 指标体系 德尔菲法 层次分析法 

分 类 号：G63[文化科学—教育学]